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MRS. AMANDA LYNN JOHNSON MS
NPI 1639763733
Marriage & Family Therapist in Atlanta, GA

Active since March 01, 2021Opted out of Medicare · through Feb 13, 2028
3565 PIEDMONT ROAD NE, BUILDING TWO, SUITE 510, ATLANTA, GA 30305(404) 618-0601 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amanda Lynn Johnson Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA LYNN JOHNSON MS (NPI 1639763733) is an individual marriage & family therapist in Atlanta, Georgia, licensed in Georgia (000525) and active in the NPI registry since March 2021. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1639763733
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. AMANDA LYNN JOHNSONCredential: MS
Location Address3565 PIEDMONT ROAD NE, BUILDING TWO, SUITE 510Atlanta, GA 30305-3030
Mailing Address3565 Piedmont Road Ne, Building Two, Suite 510Atlanta, GA 30305 · (404) 618-0601
Phone(404) 618-0601
Sole ProprietorNo
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1639763733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · 000525
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3565 PIEDMONT ROAD NE, Atlanta, GA 30305
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Other Names 1

Former Name (1)Amanda Lynn Peterson Ms

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Amanda Lynn Johnson Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024
Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1639763733. It was assigned to this individual provider in the NPPES registry on March 1, 2021. The provider is also known as Amanda Lynn Peterson Ms.

Where is Amanda Johnson located?

Amanda Johnson practices at 3565 Piedmont Road NE Building Two, Suite 510, Atlanta, GA 30305. The listed phone number is (404) 618-0601.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Amanda Johnson enrolled in Medicare?

No. Amanda Johnson has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.